Deck 12: Male Reproductive System

Question 1

Which of the following is a biochemical marker for testicular cancer?

A) Carcinogenic antigen 125 (CA-125)
B) Alpha-fetoprotein (AFP)
C) Carcinoembryonic antigen (CEA)
D) Tumor necrosis factor (TNF)

Answer 1

Alpha-fetoprotein (AFP)

Question 2

A 35-year-old male patient recently noticed a nodular growth on the right testicle. He reports a feeling of pain and heaviness in the testicle. Physical examination reveals a smooth, firm nodule of 5 to 6 cm on the right testicle. The right scrotum is erythematous, and inguinal lymph nodes are palpable. The clinician should order a(n) ____ to evaluate this finding.

A) Ultrasound of the scrotum
B) Computed tomography scan of the pelvis
C) Pelvic x-ray
D) Digital rectal exam

Answer 2

Ultrasound of the scrotum

Question 3

A 26-year-old male complains of pain in the left scrotal region and burning on urination that started 2 days ago. The scrotum is swollen and tender to palpation. A urethral discharge is evident. Pain decreases with elevation of the left scrotum. There is no pain on digital rectal exam. These are signs of:

A) Testicular torsion
B) Testicular cancer
C) Epididymitis
D) Prostatitis

Answer 3

Epididymitis

Question 4

A 22-year-old male patient recently noticed swelling of the right testicle. He reports a feeling of heaviness and a dull ache in the testicle. There is no history of recent trauma. Physical examination reveals enlargement of the affected testicle, which is firm. The right scrotum is erythematous, and inguinal lymph nodes are palpable. It is important to recognize these are signs and symptoms of:

A) Varicocele of the testes
B) Testicular cancer
C) Hematocele of the testes
D) Torsion of the testes

Question 5

A 7-year-old male presents with fever and swollen parotid glands. He is diagnosed with mumps. A complication that can occur with mumps in a male patient is:

A) Orchitis
B) Prostatitis
C) Testicular torsion
D) Varicocele

Question 6

The most common cause of erectile dysfunction is:

A) Peripheral neuropathy
B) Low testosterone
C) Peripheral vascular disease
D) Autonomic neuropathy

Question 7

Examination of the male patient is best done in a warm room in order to avoid:

A) Exaggeration of the cremasteric reflex
B) Discomfort during digital rectal exam
C) Retraction of the testes into the abdomen
D) Concealment of an inguinal hernia

Question 8

A 12-year-old boy accompanied by his mother reports sudden severe pain in the right lower abdomen and scrotum. There is no history of trauma. On physical examination, the right scrotum is extremely tender to touch. These are signs of:

A) Fournier's disease
B) Testicular cancer
C) Testicular torsion
D) Varicocele of the testes

Question 9

In order for the clinician to diagnose a varicocele, the patient needs to:

A) Lie in the left lateral recumbent position
B) Stand and bear down
C) Lean over for digital rectal exam
D) Lie in the supine position

Question 10

The condition of the penis termed phimosis is:

A) Difficulty separating the foreskin from the penis
B) Curvature of the penis when erect
C) Inability of the penis to attain erection
D) Inability of detumescence of the penis

Question 11

Balanitis xerotica obliterans (BXO) is a painful condition most common in:

A) Adolescent males
B) Young adult males
C) Middle-aged males
D) Males over 65 years old

Question 12

Which of the following is a risk factor for testicular cancer?

A) Fournier's disease
B) Testicular torsion
C) Varicocele of the testes
D) Cryptorchidism

Question 13

In homosexual men, the most common cause of epididymitis is/are:

A) Shigella
B) Neisseria gonorrhoeae
C) Chlamydia trachomatis
D) Escherichia coli

Question 14

The majority of male newborns born with cryptorchidism usually attain testicular descent by:

A) 1 week old
B) 1 month old
C) 6 months old
D) 1 year old

Question 15

In Klinefelter's syndrome, males commonly have all of the following except:

A) Gynecomastia
B) Undeveloped testes
C) Tall height
D) Elevated testosterone levels

Question 16

Which of the following is considered a risk factor for penile cancer?

A) Chlamydia infection
B) Condyloma acuminata
C) Epispadias
D) Circumcision

Question 17

Which of the following most commonly causes balanitis?

A) Tinea
B) Syphilis
C) Candida
D) Gonorrhea

Question 18

Which of the following male reproductive disorders resembles a bag of worms on inspection?

A) Spermatocele
B) Hydrocele
C) Varicocele
D) None of the above

Question 19

Which of the following is the genetic makeup of a male with Klinefelter's syndrome?

A) 46 XX
B) 47 XXY
C) 47 XYY
D) 45 XXY

Question 20

Which of the following conditions is considered a urological emergency?

A) Balanitis
B) Paraphimosis
C) Phimosis
D) Balanoposthitis

Question 21

Peyronie's disease in the male causes:

A) Balanitis of the penis
B) Cryptorchidism
C) Curvature of the penis
D) Fracture of the penis

Question 22

A male and female patient complain of problems with conception. The female patient is in generally good health. The male patient is a bodybuilder who admits to anabolic steroid use. It is important for the clinician to recognize that in male steroid users there is often:

A) Atrophic testes
B) Excessive natural testosterone
C) Testicular hypertrophy
D) Elevated LH levels

Question 23

Your male patient is 456 pounds and complains of erectile dysfunction. On physical examination, you note gynecomastia; decreased pubic, facial, and axillary hair; as well as atrophic testes. This is due to:

A) Vascular disease that affects the testes
B) Conversion of testosterone in fatty tissue to estradiol
C) Androgen resistance of fatty tissue
D) Elevated insulin levels

Question 24

A male and female patient complain of problems with conception. The female patient is in generally good health. The male patient reports history of cystic fibrosis (CF). It is important for the clinician to recognize that in male patients with CF, there is often malformation of the:

A) Vas deferens
B) Epididymis
C) Seminal vesicles
D) All of the above

Question 25

Priapism often occurs in male patients with:

A) Sickle cell anemia
B) Low testosterone
C) Diabetes mellitus
D) Autonomic neuropathy